Malaria in the Indian Reservation of "Vale do Javari", Brazil

Sampaio, Maurício Rocha de Magalhães; Turcotte, S.; Martins, Vidal; Cardoso, Ernesto Montoro; Burattini, Marcelo Nascimento

doi:10.1590/s0036-46651996000100011

Cited by 4 publications

(7 citation statements)

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“…This value is almost 20 times higher than the annual mean API in the Amazon region, in the same period (mean API: 11 cases/1,000 inhabitants) 3 . In 1994, the National Health Foundation reported an important number of deaths in the indigenous population that was initially attributed to hepatitis, but was later demonstrated to be malaria, the main cause of morbidity and mortality in that outbreak 21 , 23 . Sampaio et al .…”

Section: Discussionmentioning

confidence: 99%

“…Sampaio et al . 21 showed that the cases were related to the distance between villages and extractive areas and that the disease was spread, not radiated from a single focus. In 1997, the non-governmental organization “Doctors Without Borders” (MSF in the French acronym) started a disease control initiative in the Vale do Javari, training Indigenous Health Agents (AIS in Portuguese) and Indigenous Malaria Microscopists (MIM in Portuguese) from Matis, Kanamary, Marubo, Maioruna and Culina ethnic groups.…”

Section: Discussionmentioning

confidence: 99%

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Malaria at international borders: challenges for elimination on the remote Brazil-Peru border

Palma-Cuero

Machado

Graça

et al. 2022

Rev. Inst. Med. trop. S. Paulo

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Understanding local epidemiology is essential to reduce the burden of malaria in complex contexts, such as Brazilian municipalities that share borders with endemic countries. A descriptive study of malaria in the period 2003 to 2020 was conducted using data from the Malaria Epidemiological Surveillance Information System related to a remote municipality with an extensive border with Peru to understand the disease transmission, focusing on the obstacles to its elimination. The transmission increases at the end of the rainy season. During the period of 18 years, 53,575 malaria cases were reported (Mean of API 224.7 cases/1,000), of which 11% were imported from Peru. Thirteen outbreaks of malaria were observed during the studied period, the last one in 2018. The highest burden of cases was caused by P. vivax (73.2%), but P. falciparum was also prevalent at the beginning of the study period (50% in 2006). Several changes in the epidemiological risk were observed: (1) the proportion of international imported cases of malaria changed from 30.7% in 2003 to 3.5% in 2020 (p<0.05); (2) indigenous people affected increased from 24.3% in 2003 to 89.5% in 2020 (p<0.0001); (3) infected children and adolescents < 15 years old increased from 50.2% in 2003 to 67.4% in 2020 (p<0.01); (4) the proportion of men decreased from 56.7% in 2003 to 50.4% in 2020 (p<0.01); (5) the likelihood of P. falciparum malaria has significantly declined (p<0.01). The number of cases and the incidence of malaria in 2019 and 2020 were the lowest in the period of 18 years. The burden of malaria in indigenous areas and its determinants, seasonality, geographical access and the long international border are obstacles for the elimination of malaria that must be overcome.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Malaria at international borders: challenges for elimination on the remote Brazil-Peru border

Palma-Cuero

Machado

Graça

et al. 2022

Rev. Inst. Med. trop. S. Paulo

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“…Sobre saúde no Vale do Javari, conferir Selau (1991), Sampaio et al (1996), Médico sem fronteiras (1999), Centro de Trabalho Indigenista (2004; 2010), Erikson (2006) Os Korubo pertencem ao ramo setentrional da família linguística pano e, atualmente, habitam dentro dos limites da Terra Indígena Vale do Javari, onde há uma parcela de contato recente e outra em isolamento. Hoje, os Korubo de recente contato são 127 pessoas, localizadas nos rios Ituí e Coari, e uma menina que reside na Casa de Saúde do Índio em Manaus, Amazonas, para tratamento de saúde.…”

Section: Notasunclassified

A Covid-19 na Terra Indígena Vale do Javari: entraves e equívocos na comunicação com os Korubo

Silva

2020

Mundo Amazon.

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O novo coronavírus que já assolava diversas regiões do Brasil chegou à Terra Indígena Vale do Javari, Estado do Amazonas, no mês de junho de 2020, região com povos indígenas de recente contato e alta concentração de povos indígenas em isolamento. A pandemia da Covid-19 nos leva ao repensar de antigas formas de relação e comunicação, exigindo-nos práticas de isolamento e, paralelamente, a circulação de informações em uma velocidade jamais vista antes. Na ausência de medicamentos e imunizações, as recomendações sanitárias ganham centralidade enquanto medida de contingenciamento do novo coronavírus. No entanto, a eficácia da comunicação pode esbarrar em entraves e equívocos que permeiam a relação entre os pacientes e as equipes de saúde. A partir de pesquisa de campo realizada junto aos Korubo, povo de recente contato da Terra Indígena Vale do Javari, este artigo intenciona refletir sobre a comunicação informativa no contexto da pandemia da Covid-19.

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“…Malaria is one of the main health problems in this population, where 99% of Brazilian cases are notified. Of all the 457,570 malaria cases reported in 2007, 79.6% had Plasmodium vivax as their etiological agent; 19.3%, P. falciparum; 0.1%, P. malariae; and 1.0% were mixed infections.…”

Section: Introductionmentioning

confidence: 99%

“…Malaria is an important and serious disease among indigenous peoples, representing the main cause of hospitalization and death in some ethnic groups. 12,19 Severe cases occur mostly in villages located further away from urban areas, where contact with non-indigenous populations is recent or reduced and transmission is stable. In these populations, exposure to the disease is lower and there is loss of immunological memory throughout time.…”

Section: Introductionmentioning

confidence: 99%